NWAS was formed on 1 July 2006. It was created by the merge of 4 previous services (Cumbria Ambulance Service; Lancashire Ambulance Service; Cheshire and Mersey Ambulance Service; and Greater Manchester Ambulance Service) as part of Health Minister Lord Warner's plans to combine ambulance services.[1]

They also operate non-emergency patient transport services (PTS), and in 2013/2014 carried out 1.2 million such journeys. Since 2016, the PTS in Cheshire, Warrington and Wirral has instead been carried out by West Midlands Ambulance Service.[2]

NWAS was the first ambulance trust to be inspected by the Care Quality Commission, in August 2014. The Commission found the trust provided safe and effective services which were well-led and with a clear focus on quality but it was criticised for taking too many callers to hospital and for sending ambulances when other responses would have been more appropriate.[4]

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